Individual
LAURA PHYLLISSE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW-PIP
Contact information
Practice address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 343-0650
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6183
SD
Other
Enumeration date
08/23/2018
Last updated
04/01/2024
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